| Mg Therapeutic Services Llc | |
|
100 W Sixth St Ste 305 Media PA 19063-2428 | |
| (484) 445-4147 | |
| Not Available |
| Full Name | Mg Therapeutic Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 W Sixth St Ste 305, Media, Pennsylvania |
| Authorized Official Name and Position | Mattthew Paul Richmond (STAFF PSYCHOLOGIST) |
| Authorized Official Contact | 8474210122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Therapeutic Services Llc 100 W Sixth St Ste 305 Media PA 19063-2428 Ph: () - | Mg Therapeutic Services Llc 100 W Sixth St Ste 305 Media PA 19063-2428 Ph: (484) 445-4147 |
| NPI Number | 1649747866 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649747866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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